Inside the Episode
Jess and Natalie talk with Nicole Habovick about the emerging science supporting infant-driven feeding protocols. These protocols are being implemented in NICUs, with the goal of transitioning babies more quickly from tube feeding to bottle or nipple feeding. With this client-centered approach, care providers respond to signs of hunger and satiation by the baby to initiate and stop feeding. This is in contrast to the current practice of timed feedings and volume-driven feedings. Nicole helps us identify optimal candidates for this approach, and strategies for increasing success. She also shares her experiences with program development and implementation in a high-risk practice setting.
Content Level: Intermediate
Davidson, E., Hinton, D., Ryan-Wenger, N., and Jadcherla, S. (2013). Quality improvement study of effectiveness of cue-based feeding in infants with bronchopulmonary dysplasia in the neonatal intensive care unit. Journal of Obstetric, Gynocologic and Neonatal Nursing, 42, 629-640.
Ludwig, S. M. and Waitzman, K. A. (2007). Changing feeding documentation to reflect infant-driven feeding practice. Newborn and Infant Nursing Reviews, 7(3): 155-160.
Puckett, B., Kaur Grover, V., and Sankaran, K. (2008). Cue-based feeding for preterm infants: A prospective trial. American Journal of Perinatology, 25(10): 623-628.
Wellington, A. and Perlman, J. M. (2015). Infant-driven feeding in premature infants: A quality improvement project. Archives in Diseases in Childhood, Fetal and Neonatal Edition, 100, F495-500.